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Individual
MS. CHRISTINA ROSE PRUDEN
Active
Individual
MS. CHRISTINA ROSE PRUDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
44SC05984500
NJ
104100000X
Social Worker
44SL06144800
NJ
1041C0700X
Clinical Social Worker
44SC05984500
NJ
Other
Enumeration date
02/26/2016
Last updated
02/09/2022
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